Organization Active NPI

Therapeutic Procedures PC

  • Clinic/Center
  • Papillion, NE
National Provider Identifier
1396365052
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THERAPEUTIC PROCEDURES PC
Practice address
701 Pinnacle Dr
Papillion, NE 68046-6224
Phone
(402) 218-7989
Fax
(402) 932-8863
NPI assigned
Apr 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tonya L Boeckenhauer, DC
Title
Vice President
Phone
(402) 218-7989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

701 Pinnacle Dr
Papillion, NE 68046-6224

Mailing address

12607 S 82ND St
Papillion, NE 68046-4400
Phone (402) 218-7989

National Provider Directory

National Provider Directory

Locations

701 Pinnacle Dr
Papillion, NE 68046
Phone (402) 218-7989

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1396365052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12607 S 82ND ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464400",
            "telephone_number": "402-218-7989",
            "fax_number": "402-932-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PINNACLE DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680466224",
            "telephone_number": "402-218-7989",
            "fax_number": "402-932-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC PROCEDURES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "BOECKENHAUER",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "402-218-7989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.